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Individual

JOANN TEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12150 ANNAPOLIS RD STE 201, GLENN DALE, MD 20769-9183
(301) 352-8371
(877) 828-2060
Mailing address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25063
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447657507
NPI
MD
Enumeration date
07/11/2014
Last updated
01/03/2020
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